Coaching Application

Please fill out the form below. Be as honest and thorough as possible.

Name

First Name

Last Name

Age

Height, Current Weight

Occupation

Gender

Current Fitness & Nutrition Goals:

Fat Loss/Calorie Deficit

Muscle Gain/Surplus

Maintainance

Lifestyle Change

Explain Goals in More Detail:

Current Activity Level:

Have you tracked macros before?

If yes, have you been tracking recently what are your current macros or daily average calorie intake?

Have you ever taken time at maintenance?Dropdown

What has your nutrition looked like over the past year?

Yo-yo dieting, eating at maintenance, calorie deficit, binging, building muscle (eating in a surplus)

Have you ever used coaching or training services before? If yes, explain.

Past diet habits, eating disorders, eating patterns, areas of struggle, current eating habits, etc?

How long have you been working out?

What is your current exercise routine?

How many steps do you get daily on average, if you wear a step tracker (Fitbit, Apple Watch, etc.)?

Do you plan to utilize my workouts during our time together?

If not, what are your workout plans?

Any current injuries, medical conditions, currently pregnant or breastfeeding?

How much alcohol do you consume?

Do you currently have a hormonal cycle?

If you answered no, why don't you have a regular hormonal cycle? Please explain:

What does your current daily routine look like?

(work, gym, home, etc)

How are you currently sleeping?

Rate your current stress level. 1-10

What is your main goal with having 1:1 coaching?

Anything else you would like me to know?

Link to Current Physique Photo

Dropbox or Google drive link, This is not "required" but it will help me to perfect your macros or training program to be more personalized.

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Are you willing and prepared to commit to 12 weeks of 1:1 coaching, including both the financial investment and investment of your effort?

Lindsey Bush is not a physician or registered dietician. Please consult with your physician for medical clearance and approval before starting this nutrition program. Information provided here will be in suggestion use only. It is not intended to diagnose, treat, cure, or prevent any health related problem-nor is it intended to replace the advice of your physician. This consult is not intended to diagnose, treat, prevent or cure any disease or condition. It is not intended to substitute for the advice, treatment and/or diagnosis of a qualified licensed professional. I will not make any medical diagnoses, claims and/or substitute for your personal physician’s care. I do not provide a second opinion or in any way attempt to alter the treatment plans or therapeutic goals/recommendations of your personal physician. It is my role to partner with you to provide advice and a helpful plan and to create an action plan to meet and maintain your physique and health goals.

Must be at least 18 years old to apply.